作者
申倩瑜,唐惠艳
文章摘要
目的:探讨励-协夫曼言语训练(LSVT)联合镜像疗法对脑卒中患者吞咽功能障碍的影响。方法:选取2022年9月-2023年5月某三级甲等医院收治的109例脑卒中后吞咽障碍患者为研究对象,按照入组顺序将患者分到4个病区分为4组,对照组采用神经内科常规护理及康复措施,实验1组在对照组基础上,给予励-协夫曼言语训练,实验2组在对照组基础上,给予镜像疗法,实验3组在对照组基础上,给予励-协夫曼言语训练联合镜像疗法,四组持续干预3个月。比较干预前后四组患者吞咽功能和生活质量。结果:干预后,实验1组、实验2组、实验3组患者WST结果优于对照组(P<0.05),实验1组、实验2组、实验3组患者SWAL-QOL评分均高于对照组(P<0.05)。结论: LSVT联合镜像疗法干预有助于提高脑卒中后吞咽障碍患者的吞咽功能和生活质量。
文章关键词
励-协夫曼言语训练;镜像疗法;脑卒中;吞咽功能;生活质量
参考文献
[1]王珊珊.缺血性脑卒中患者急性期疲劳发生风险及患病结局研究[D].开封:河南大学,2015. [2]董艳红.老年人急性脑卒中后吞咽障碍的康复护理[J].护理研究,2009,23(S2):111-112. [3]孙伟平,贺茂林.卒中患者的吞咽困难[J].中国脑血管病杂志,2004,01(04):186-189. [4]MAO H,LI Y,TANG L,et al.Effects of mirror neuron system based training on rehabilitation of stroke patients[J].Brain and
Behavior,2020,10(8):e01729. [5]SHIH L C,PIEL J,WARREN A,et al.Singing in groups for Parkinson's disease(SING-PD):A pilot study of group singing therapy for PD-related voice/speech disorders[J].Parkinsonism&related disorders,2012,18(5):548-552. [6]VAN HOOREN M R A,BAIJENS L W J,VOS R,et al.Voice and swallow related quality of life in idiopathic P arkinson's disease[J].The Laryngoscope,2016,126(2):408-414. [7]张玲,张有文,姚红敏,等.励-协夫曼言语治疗对脑卒中患者吞咽功能的作用效果[J].中国临床护理,2022,14(05):275-278. [8]张有文,杨凌,白岫丹,等.励-协夫曼言语训练对脑梗死病人吞咽功能、嗓音质量和日常生活能力的影响[J].护理研
究,2021,35(16):2864-2868. [9]GONZÁIEZ-FERNÁNDEZ M,HUMBERT I,WINEGRAD H,et al.Dysphagia in Old-Old Women:Prevalence as Determined According
to Self-Report and the 3-Ounce Water Swallowing Test[J].Journal of the American Geriatrics Society,2014,62(4):716-720. [10]CASTAGNA A,FERRARA L,ASNAGHI E,et al.Post-stroke dysphagia rehabilitation in the old and oldest old:outcome and relevancefor discharge home[J].International Journal of Rehabilitation Research,2020,43(1):55-61. [11]ZHANG G,LI Z,GU H,et al.Dysphagia management and outcomes in elderly stroke patients with malnutrition risk:results from Chinese Stroke Center Alliance[J].ClinInterv Aging,2022,17:295-308. [12]ÉMERSON SOARES PONTES,ANA KARÊNINA DE FREITAS JORDÃO DO AMARAL,FlÁVIA LUIZA COSTA DO RÊGO,et al.Quality of life in swallowing of the elderly patients affected by stroke[J].Arquivos De Gastroenterologia,2017,54(1):27.
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